Gestational Surrogacy

The Gestational Surrogacy Program at San Diego Fertility Center

The doctors of our Fertility Centers have long stretches of shared involvement to helping patients move toward becoming guardians through gestational surrogacy. We will enable you to assess the advantages of gestational surrogacy and give you data about cost, lawful issues, and treatment conventions.

In customary surrogacy, the surrogate is pregnant with her own particular natural youngster, yet this kid will be raised by others. In gestational surrogacy, the surrogate ends up pregnant through incipient organism exchange with a youngster that isn’t naturally her own. The surrogate mother might be known as the gestational transporter.

Once an appropriate surrogate has been distinguished, and the screening procedure is finished, the cycle can start. Timing relies upon the surrogate’s menstrual cycle and any booking clashes among the surrogate, proposed guardians, or expert staff.

Surrogacy Cycle Process Overview

Once a reasonable surrogate has been browsed your preferred surrogacy office and the screening procedure and legitimate contracts are finished, the cycle can be started. The planning of starting the cycle relies upon the menstrual cycle of the surrogate and any booking clashes among the surrogate, expected guardians, or expert staff.

The surrogate needs to set up her uterus for implantation with normal estrogen and progesterone. Since every lady is somewhat unique, the measurement, term, and strategy for managing these hormones may should be individualized. This can be resolved early by leading an assessment cycle. This is a “dry run” in which we copy each piece of the cycle aside from the real move of fetuses keeping in mind the end goal to decide how to boost the odds of achievement. The assessment cycle can be finished whenever before the genuine system. In a few conditions, the assessment cycle can be deferred when the reaction of the uterus to hormonal incitement is notable. This is genuinely normal for ladies who have experienced numerous treatment cycles before.

It is important to synchronize the menstrual cycles of the surrogate and the proposed parent with a specific end goal to get develop eggs and fetuses and move these once again into a flawlessly arranged endometrium (uterine coating) to boost the odds of pregnancy achievement. This is finished utilizing an assortment of hormonal controls including contraception pills, leuprolide (Lupron), or Synarel. We will figure out which method will work best for every condition. Once the two ladies’ (surrogate and expected parent) ovarian capacity is stifled and their cycles synchronized, they can start the way toward planning for pregnancy.

On about that day, the surrogate and planned parent will start hormonal treatments to set up the suitable focus for pregnancy achievement. The surrogate will start taking estrogen to fortify endometrial (uterine covering) development and the planned parent will start taking FSH to invigorate egg creation. These medicines are checked with ultrasound and blood estrogen levels until the point that the eggs are prepared to be recovered and the uterus is prepared to acknowledge an incipient organism. Normally these medicines will take around half a month and require five office visits for ultrasounds and blood tests.

At the point when the ultrasound observing of the ovaries and uterus confirms that the eggs are develop and prepared to be recovered and the endometrial covering is fittingly developed, the proposed parent is booked for egg recovery. Upon the arrival of the egg recovery the proposed parent experiences a vaginal, ultrasound-guided technique under light sedative at SDFC. The ultrasound utilized for egg recovery is much the same as the one used to screen the procedure of the cycle in the workplace. At the point when the follicle that contains the eggs is seen with the ultrasound, a needle can be coordinated through the highest point of the vagina into the follicle and the follicular liquid and eggs are suctioned into a test tube. An embryologist works with the doctor in the working space to inspect the liquid under a magnifying instrument and discover the eggs. On an indistinguishable day from the egg recovery, the spouse gives a new sperm test and the surrogate starts progesterone treatment. Once the eggs are recovered, they are taken to the IVF lab and set with sperm in the hatchery. The next morning it is resolved what number of the eggs have effectively treated into incipient organisms.

In successful cycles, the hormonal supplements are continued through the first trimester (12 weeks) of the pregnancy. Once the first trimester is completed and the placenta has matured to the point where it can provide for all the hormonal needs of the pregnancy, no further supplements are required. We will monitor blood levels of estrogen and progesterone at the end of the first trimester and taper off the hormone supplements gradually. Once the hormone supplements are stopped, the rest of the pregnancy is indistinguishable from any other pregnancy!